Provider Demographics
NPI:1730448192
Name:ADAN, LUKE DANIEL AROMIN (PT)
Entity type:Individual
Prefix:
First Name:LUKE
Middle Name:DANIEL AROMIN
Last Name:ADAN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 17TH ST STE B
Mailing Address - Street 2:
Mailing Address - City:PACIFIC GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:93950-7201
Mailing Address - Country:US
Mailing Address - Phone:831-235-6489
Mailing Address - Fax:
Practice Address - Street 1:170 17TH ST STE B
Practice Address - Street 2:
Practice Address - City:PACIFIC GROVE
Practice Address - State:CA
Practice Address - Zip Code:93950-7201
Practice Address - Country:US
Practice Address - Phone:831-235-6489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-04
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT38936225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist